INLAND EMPIRE SPINAL DECOMPRESSION CENTERS (NPI# 1043481450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043481450 |
| Entity Type | Organization |
| Organization Name | INLAND EMPIRE SPINAL DECOMPRESSION CENTERS |
| Other Organization Name | INLAND VALLEY SPINAL DECOMPRESSION CENTERS |
| Practice Address |
203 W G St Ste B Ontario CA 91762-3227 |
| Mailing Address |
203 W G St Ste B Ontario CA 91762-3227 |
| Practice Telephone | 9099861611 |
| Practice Fax Number | 9094675594 |
| Mailing Telephone | 9099861611 |
| Mailing Fax Number | 9094675594 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | DR. VICTOR HUGO FANTASIA (CFO) |
| Authorized Official Telephone | 9099861611 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
15464 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL NPI NUMBER | 1366626707 | 01 |
| Other Name | Type Code |
|---|---|
| Inland Valley Spinal Decompression Centers | Doing Business As Name - Organization |
| Street Address |
203 W G ST STE B |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487600243 | Sofia Isabel Padilla | Chiropractor | 203 W G St, Ontario, CA 91762-3227 | 2006-05-25 |
| 1881135648 | Kwame Quansah | Pharmacist | 203 W G St, Ontario, CA 91762-3227 | 2017-03-13 |
| 1366626707 | Victor Hugo Fantasia | Chiropractor | 203 W G St, Ontario, CA 91762-3227 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396926523 | American Current Care of California, A Medical Corporation | Clinic/Center | 1101 S Milliken Ave Ste C, Ontario, CA 91761-8112 | 2007-11-15 |
| 1225505340 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 2171 S Grove Ave Ste A, Ontario, CA 91761-4600 | 2018-10-26 |
| 1639646805 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 3200 Inland Empire Blvd Ste 100, Ontario, CA 91764-5569 | 2018-10-25 |
| 1447489075 | Robert J Steiskal, D.c., Inc | Clinic/Center | 718 N Euclid Ave, Ontario, CA 91762-2712 | 2009-07-02 |
| 1609025774 | Concentra Health Services, Inc. | Clinic/Center | 1101 S. Milliken Avenue, Ontario, CA 91761 | 2008-09-15 |
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| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.